Dieme C, Bousso A, Sane A, Sané J-C, Niane M, Ndiaye A, Sy M-H, Seye S
Service d'orthopédie-traumatologie, CHU A.-Le Dantec, Dakar Fann, Dakar, Sénégal.
Chir Main. 2007 Apr;26(2):113-6. doi: 10.1016/j.main.2007.02.004. Epub 2007 Mar 12.
Bipolar clavicular dislocation is uncommon. It associates an acromioclavicular and sternoclavicular dislocation. The authors review the mechanism of this injury and discuss the treatment. Three patients presented after a trauma of the shoulder a floating clavicle. In 2 patients management was surgical. Abstention was decided for the fourth patient. The pathology of floating clavicle is not completely understood. Two hypothesis were made: 1) two dislocations occur simultaneously; 2) two dislocations occur one after another. Management still difficult. Indications must take into considerations the severity of the injury and the functional consequences in the acromioclavicular joint.